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Published on: March 22, 2012

Nosocomial urinary tract aspergilloma in an immunocompetent host: an unusual occurrence

Archana Singal1, Chander Grover, Deepika Pandhi

  • 1Department of Dermatology and STD, University College of Medical Sciences and GTB Hospital, University of Delhi, Delhi, India.

Indian Journal of Dermatology
|October 2, 2013
PubMed

Insights

Urinary tract infections (UTIs) caused by Aspergillus flavus are rare, especially in immunocompetent individuals. This case report highlights a successful treatment of Aspergillus flavus UTI in an immunocompetent man using itraconazole.

Area of Science:

  • Mycology
  • Urology
  • Infectious Diseases

Background:

  • Fungal urinary tract infections (UTIs) often occur after antibiotic use, catheterization, or instrumentation.
  • Candida species are the most common fungal pathogens causing UTIs.
  • Aspergillus flavus UTIs are typically seen in immunocompromised patients.

Purpose of the Study:

  • To report a rare case of Aspergillus flavus UTI in an immunocompetent individual.
  • To describe the clinical presentation and successful management of this infection.

Main Methods:

  • Case report of a 32-year-old immunocompetent male patient.
  • Diagnosis of urinary tract infection caused by Aspergillus flavus.
  • Treatment with a broad-spectrum antifungal agent, itraconazole.

Main Results:

  • The patient presented with symptomatic UTI, abdominal pain, and passage of fungal masses.
  • Aspergillus flavus was identified as the causative agent.
  • Successful treatment was achieved with a prolonged course of itraconazole.

Conclusions:

  • Aspergillus flavus can cause symptomatic UTIs in immunocompetent hosts, even after instrumentation.
  • Prompt diagnosis and antifungal treatment, such as with itraconazole, are crucial for successful outcomes.
Keywords:
Aspergillosisimmuncompetentnosocomialurinary tract

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